Metabolomics Analysis According to the Retinal Nerve Fiber Layer in Patients With NOHL Mutations (MétabOCT)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorHôpital Necker-Enfants Malades

About this trial

Leber hereditary optic neuropathy (LHON), due to mitochondrial DNA (mtDNA) mutations, is responsible for profound visual impairment. However, there is evidence that optic nerve damage begins before vision declines. There is no biomarker to determine when optic nerve damage begins before visual acuity decline occurs.

We hope that the analysis of metabolomics will reveal specific metabolomic profiles and different vitamin B3 and B9 levels depending on whether there are OCT signs of optic nerve damage in healthy patients with mtDNA mutations suggestive of LHON (11778, 3460 or 14484). The existence of an increase in the thickness of the optic fiber layer, whose normal values are well established, constitutes such a sign in favor of optic nerve damage.

Eligibility criteria

Qualifiers

Patient carrying an mtDNA mutation suggestive of NOHL (11778, 3460 or 14484) with normal visual acuity and who has never had optic neuropathy, or Patient not carrying an mtDNA mutation suggestive of NOHL (11778, 3460 or 14484) with normal visual acuity and who has never had optic neuropathy;

Patient agreeing to undergo an OCT;

Patient agreeing to sign the informed consent;

Patient affiliated to French social protection (Primary Health Insurance Fund, CMU, etc.) or European social protection.

Disqualifiers

Patient with or having had optic neuropathy regardless of its etiology

Patient with glaucoma regardless of its etiology;

Patient not wanting to undergo OCT;

Patient not wanting to sign the informed consent;

Trial design

Treatments tested in this trial

  • Optical coherent tomography

Treatment groups

90 Participants
are divided into 1 treatment group